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HIV-1 Proviral DNA Detection by Next-Generation Sequencing (NGS)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of HIV genetic material (proviral DNA) in your blood. It helps track how well your HIV is being controlled by your treatment.

Quick summary

["Assesses HIV viral load through genetic sequencing for monitoring treatment effectiveness."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
80692-7
Short code
HIV1 proviral DNA RT + PR Mut Det Seq
Synonyms
HIV1 proviral DNA RT + PR Mut Det Seq
Category
coagulation
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
sequencing
CPT
86701
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What This Test Measures

The test detects specific sequences of the HIV virus’s genetic material (DNA) in your blood. Unlike traditional viral load tests that measure viral copies, this method identifies the actual viral genome, which can provide additional insights into viral resistance and treatment response over time.

Why It’s Done

Healthcare providers may order this test if you’re starting HIV treatment, experiencing treatment resistance, or if you have a high viral load despite therapy. It can also be used to monitor viral evolution and guide adjustments to your medication plan.

How It Works

A small blood sample is collected and processed to extract HIV proviral DNA. Advanced sequencing technology then analyzes the genetic material to identify viral sequences, allowing for detailed assessment of viral presence and characteristics.

Sample Collection and Preparation

A blood sample is drawn from your arm, similar to other blood tests. The sample is sent to a lab where it is processed to isolate the viral DNA for sequencing analysis. This process may take several days to complete, depending on lab workload.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

HIV Genomic DNA Test

Frequently asked questions

How does this test differ from a standard HIV viral load test?
Unlike standard viral load tests, which count viral copies, this test provides a detailed genetic profile of the HIV virus. It can help identify mutations associated with drug resistance, track viral evolution over time, and assess the effectiveness of treatment at a molecular level.
What does a positive result mean?
A positive result indicates the presence of HIV proviral DNA in your blood. This does not necessarily mean your HIV is actively replicating, but it confirms the virus is present in your system and may require further evaluation to determine the best treatment approach.
Can this test be used to diagnose HIV?
No, this test is primarily used for monitoring and guiding treatment rather than diagnosing HIV. For diagnosis, standard HIV antibody tests are typically used first.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy